{"id":11082,"date":"2026-09-15T10:22:51","date_gmt":"2026-09-15T10:22:51","guid":{"rendered":"https:\/\/inidental.com\/dientes-desgastados\/"},"modified":"2026-10-08T10:49:32","modified_gmt":"2026-10-08T10:49:32","slug":"dientes-desgastados","status":"publish","type":"post","link":"https:\/\/inidental.com\/ca\/dientes-desgastados\/","title":{"rendered":"Dents desgastades: causes i solucions per recuperar est\u00e8tica i funci\u00f3"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u00cdndice de contenidos<\/p>\n<label for=\"ez-toc-cssicon-toggle-item-6ae727a7a8927\" class=\"ez-toc-cssicon-toggle-label\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">Toggle<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #999;color:#999\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewBox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #999;color:#999\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewBox=\"0 0 24 24\" version=\"1.2\" baseProfile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/label><input type=\"checkbox\"  id=\"ez-toc-cssicon-toggle-item-6ae727a7a8927\"  aria-label=\"Toggle\" \/><nav><ul class='ez-toc-list ez-toc-list-level-1 ' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Tenen_solucio_les_dents_desgastades\" >Tenen soluci\u00f3 les dents desgastades?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Principals_causes_del_desgast_dental\" >Principals causes del desgast dental<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Bruxisme_i_grinyolar_les_dents\" >Bruxisme i grinyolar les dents<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Problemes_de_mossegada_i_oclusio\" >Problemes de mossegada i oclusi\u00f3<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Erosio_provocada_per_acids\" >Erosi\u00f3 provocada per \u00e0cids<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Raspallat_agressiu_i_altres_habits\" >Raspallat agressiu i altres h\u00e0bits<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Com_saber_si_les_dents_estan_desgastades\" >Com saber si les dents estan desgastades?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-8\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Sensibilitat_dental\" >Sensibilitat dental<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-9\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Dents_mes_curtes_plans_o_irregulars\" >Dents m\u00e9s curtes, plans o irregulars<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-10\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Canvis_de_color_fissures_i_molesties_en_mastegar\" >Canvis de color, fissures i mol\u00e8sties en mastegar<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-11\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Quina_es_la_millor_solucio_per_a_les_dents_desgastades\" >Quina \u00e9s la millor soluci\u00f3 per a les dents desgastades?<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-12\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Reconstruccio_de_dents_desgastades_amb_composit\" >Reconstrucci\u00f3 de dents desgastades amb comp\u00f2sit<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-13\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Carillas_de_porcellana_o_composit\" >Carillas de porcellana o comp\u00f2sit<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-14\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Corones_dentals_en_desgastos_severs\" >Corones dentals en desgastos severs<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-15\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Ortodoncia_per_a_corregir_problemes_de_mossegada\" >Ortod\u00f2ncia per a corregir problemes de mossegada<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-16\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Ferula_de_descarrega_quan_existeix_bruxisme\" >F\u00e8rula de desc\u00e0rrega quan existeix bruxisme<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-17\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Solucions_segons_el_grau_i_la_causa_del_desgast_dental\" >Solucions segons el grau i la causa del desgast dental<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-18\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Rehabilitacio_oral_completa_en_dents_molt_desgastades\" >Rehabilitaci\u00f3 oral completa en dents molt desgastades<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-19\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Es_pot_recuperar_lesmalt_dunes_dents_desgastades\" >Es pot recuperar l&#8217;esmalt d&#8217;unes dents desgastades?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-20\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Com_evitar_que_les_dents_continuin_desgastant-se\" >Com evitar que les dents continu\u00efn desgastant-se<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-21\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Quan_es_recomanable_acudir_al_dentista\" >Quan \u00e9s recomanable acudir al dentista?<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-22\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Preguntes_frequents_sobre_les_dents_desgastades\" >Preguntes freq\u00fcents sobre les dents desgastades<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-23\" href=\"https:\/\/inidental.com\/ca\/dientes-desgastados\/#Conclusio_recuperar_les_dents_desgastades_comenca_per_coneixer_la_causa\" >Conclusi\u00f3: recuperar les dents desgastades comen\u00e7a per con\u00e8ixer la causa<\/a><\/li><\/ul><\/nav><\/div>\n<p>[et_pb_section fb_built=&#8221;1&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_row _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_2_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_2_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_2_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Les dents desgastades tenen soluci\u00f3 i, depenent de la quantitat de teixit dental perdut i de la causa que hagi provocat el desgast, poden tractar-se mitjan\u00e7ant reconstruccions amb comp\u00f2sit, carillas de porcellana o comp\u00f2sit, corones, ortod\u00f2ncia, f\u00e8rules de desc\u00e0rrega o una rehabilitaci\u00f3 oral m\u00e9s \u00e0mplia. L&#8217;objectiu del tractament no consisteix \u00fanicament a millorar l&#8217;aparen\u00e7a de les dents: tamb\u00e9 ha de recuperar la seva forma, protegir-los enfront de nous danys i restablir una mossegada funcional. Per aquest motiu, abans de restaurar una dent desgastada \u00e9s fonamental determinar per qu\u00e8 s&#8217;ha produ\u00eft el problema i fins a quin punt ha afectat l&#8217;esmalt, la dentina i l&#8217;oclusi\u00f3.<\/p>\n<p>El desgast dental no sempre avan\u00e7a de la mateixa manera. En algunes persones a penes s&#8217;aprecia una lleugera p\u00e8rdua de la vora dels incisius, mentre que en unes altres les dents poden tornar-se notablement m\u00e9s curts, plans, sensibles o fins i tot perdre una part important de la seva anatomia original.<\/p>\n<p>A m\u00e9s, un mateix aspecte extern pot tenir causes diferents. El bruxisme, una mossegada desequilibrada, determinats h\u00e0bits, una dieta especialment \u00e0cida o el contacte repetit de les dents amb \u00e0cids g\u00e0strics poden produir patrons de desgast distints.<\/p>\n<p>Per aquest motiu, la soluci\u00f3 per a unes dents desgastades ha d&#8217;individualitzar-se. Reconstruir la superf\u00edcie perduda sense controlar primer la causa que la va destruir pot comprometre la durada del tractament.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_image src=&#8221;https:\/\/inidental.com\/wp-content\/uploads\/2026\/09\/dientes-desgastados-sintomas.webp&#8221; alt=&#8221;Dientes desgastados&#8221; title_text=&#8221;dientes-desgastados-sintomas&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; custom_padding=&#8221;||58px|||&#8221; z_index_tablet=&#8221;0&#8243; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221;]<br \/>\n[\/et_pb_image][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.17.6&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221;][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_2_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_2_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_2_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Tenen_solucio_les_dents_desgastades\"><\/span>Tenen soluci\u00f3 les dents desgastades?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>S\u00ed. En molts casos \u00e9s possible recuperar gran part de l&#8217;anatomia, l&#8217;est\u00e8tica i la funci\u00f3 d&#8217;unes dents desgastades mitjan\u00e7ant t\u00e8cniques d&#8217;odontologia conservadora, restauradora i est\u00e8tica.<\/p>\n<p>L&#8217;important \u00e9s diferenciar dos objectius que, encara que estan relacionats, no s\u00f3n exactament el mateix:<\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Detenir o reduir la causa del desgast.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Restaurar el teixit dental que ja s&#8217;ha perdut.<\/li>\n<\/ol>\n<p>Una f\u00e8rula de desc\u00e0rrega, per exemple, pot protegir les dents quan existeix bruxisme, per\u00f2 no reconstrueix per si mateixa l&#8217;esmalt que ja ha desaparegut. De la mateixa manera, col\u00b7locar una restauraci\u00f3 est\u00e8tica sense controlar un problema important de mossegada pot fer que aquesta restauraci\u00f3 suporti forces excessives.<\/p>\n<p>Per aix\u00f2, el tractament sol comen\u00e7ar amb una valoraci\u00f3 completa de les dents i de l&#8217;oclusi\u00f3.<\/p>\n<p>El professional pot estudiar la longitud de les peces, la seva superf\u00edcie, la pres\u00e8ncia de fissures, l&#8217;exposici\u00f3 de dentina, la sensibilitat, la posici\u00f3 dental i la forma en qu\u00e8 les dents superiors i inferiors contacten entre si.<\/p>\n<p>A partir d&#8217;aquesta informaci\u00f3 es determina si el problema pot resoldre&#8217;s mitjan\u00e7ant una intervenci\u00f3 conservadora o si requereix una rehabilitaci\u00f3 oral completa.<\/p>\n<p>Els casos lleus solen permetre tractaments m\u00ednimament invasius. Quan existeix una petita p\u00e8rdua de forma o de longitud, el comp\u00f2sit pot ser suficient per a reconstruir determinades zones sense realitzar grans modificacions sobre la dent.<\/p>\n<p>En nivells intermedis poden valorar-se les carillas o altres restauracions adhesives, especialment quan el desgast afecta a les dents anteriors i existeix una necessitat est\u00e8tica important.<\/p>\n<p>Quan la destrucci\u00f3 \u00e9s m\u00e9s extensa, pot ser necessari combinar diferents procediments. Algunes dents poden reconstruir-se amb materials adhesius i altres requerir restauracions de major cobertura.<\/p>\n<p>Per tant, no existeix una \u00fanica soluci\u00f3 v\u00e0lida per a totes les dents desgastades. L&#8217;elecci\u00f3 dep\u00e8n fonamentalment de tres variables: causa, quantitat de teixit perdut i estat de la mossegada.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Principals_causes_del_desgast_dental\"><\/span>Principals causes del desgast dental<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>L&#8217;esmalt \u00e9s un teixit molt resistent, per\u00f2 est\u00e0 sotm\u00e8s di\u00e0riament a forces mec\u00e0niques, canvis d&#8217;acidesa i h\u00e0bits que poden provocar la seva p\u00e8rdua progressiva.<\/p>\n<p>Identificar l&#8217;origen del desgast \u00e9s una part essencial del tractament. Dues persones poden presentar dents aparentment similars i, no obstant aix\u00f2, necessitar abordatges completament diferents.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Bruxisme_i_grinyolar_les_dents\"><\/span>Bruxisme i grinyolar les dents<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El bruxisme consisteix a estr\u00e8nyer o grinyolar les dents de forma repetida. Pot produir-se durant el somni o durant el dia i generar una c\u00e0rrega considerable sobre la dentici\u00f3.<\/p>\n<p>Quan aquest h\u00e0bit es mant\u00e9 durant anys, les superf\u00edcies dentals poden anar perdent relleu. Els incisius poden semblar cada vegada m\u00e9s curts i els molars poden mostrar superf\u00edcies m\u00e9s planes.<\/p>\n<p>Tamb\u00e9 poden apar\u00e8ixer fissures, petites fractures o mol\u00e8sties musculars.<\/p>\n<p>En aquests casos, reconstruir \u00fanicament la zona desgastada no sempre resulta suficient. Si continuen actuant les mateixes forces que van originar el problema, les noves restauracions tamb\u00e9 estaran sotmeses a una elevada c\u00e0rrega.<\/p>\n<p>Quan el diagn\u00f2stic confirma la pres\u00e8ncia de bruxisme, una f\u00e8rula de desc\u00e0rrega pot formar part del tractament. La seva funci\u00f3 \u00e9s protegir les superf\u00edcies dentals i ajudar a controlar les conseq\u00fc\u00e8ncies de les forces al apretar.<\/p>\n<p>No obstant aix\u00f2, una f\u00e8rula no fa cr\u00e9ixer de nou nou l&#8217;esmalt perdut. Si el desgast ja ha modificat la forma o la longitud de les dents, pot ser necessari combinar-la amb reconstruccions.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Problemes_de_mossegada_i_oclusio\"><\/span>Problemes de mossegada i oclusi\u00f3<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La forma en qu\u00e8 contacten les dents en tancar la boca influeix directament en com es distribueixen les forces durant la masticaci\u00f3.<\/p>\n<p>Quan determinades dents reben una c\u00e0rrega excessiva, poden desgastar-se amb major rapidesa que la resta.<\/p>\n<p>Una mala posici\u00f3 dental tamb\u00e9 pot generar contactes repetits en \u00e0rees molt concretes. Amb el pas del temps, aquests punts poden sofrir p\u00e8rdua d&#8217;esmalt, petites fractures o canvis visibles en la seva anatomia.<\/p>\n<p>Per aquest motiu, en alguns pacients la soluci\u00f3 no consisteix \u00fanicament a col\u00b7locar comp\u00f2sit, carillas o corones.<\/p>\n<p>Pot ser necessari corregir pr\u00e8viament la posici\u00f3 de les dents mitjan\u00e7ant ortod\u00f2ncia o realitzar un plantejament que permeti repartir millor les forces de la mossegada.<\/p>\n<p>L&#8217;objectiu \u00e9s evitar que el nou tractament restaurador torni a quedar sotm\u00e8s a les mateixes condicions que van produir el desgast inicial.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Erosio_provocada_per_acids\"><\/span>Erosi\u00f3 provocada per \u00e0cids<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El desgast dental tamb\u00e9 pot produir-se per processos qu\u00edmics.<\/p>\n<p>El contacte freq\u00fcent de l&#8217;esmalt amb subst\u00e0ncies \u00e0cides pot afeblir la seva superf\u00edcie i facilitar la seva p\u00e8rdua progressiva.<\/p>\n<p>Les begudes molt \u00e0cides i determinats aliments poden contribuir a aquest proc\u00e9s quan el seu consum \u00e9s elevat o molt freq\u00fcent.<\/p>\n<p>Tamb\u00e9 ha de considerar-se el contacte repetit amb \u00e0cids procedents del sistema digestiu. En determinades situacions, el reflux pot exposar les dents a un mitj\u00e0 especialment \u00e0cid.<\/p>\n<p>L&#8217;erosi\u00f3 sol generar superf\u00edcies m\u00e9s llises i pot afectar progressivament diferents zones de la dentici\u00f3.<\/p>\n<p>Quan la capa d&#8217;esmalt es redueix prou, pot quedar exposada la dentina situada sota. Aix\u00f2 pot produir un canvi de color i augmentar la sensibilitat.<\/p>\n<p>Controlar l&#8217;exposici\u00f3 als \u00e0cids resulta fonamental abans de realitzar una restauraci\u00f3 definitiva.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Raspallat_agressiu_i_altres_habits\"><\/span>Raspallat agressiu i altres h\u00e0bits<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La higiene oral \u00e9s imprescindible, per\u00f2 aplicar una for\u00e7a excessiva durant el raspallat pot contribuir al desgast de determinades zones dentals.<\/p>\n<p>El problema pot agreujar-se quan es combinen diferents factors. Per exemple, un esmalt afeblit per \u00e0cids pot resultar m\u00e9s vulnerable a una acci\u00f3 mec\u00e0nica intensa.<\/p>\n<p>Per aix\u00f2 es recomana realitzar el raspallat de manera controlada i utilitzar un raspall amb truges adequades, evitant exercir una pressi\u00f3 innecess\u00e0ria.<\/p>\n<p>Tamb\u00e9 existeixen h\u00e0bits capa\u00e7os de sotmetre a les dents a forces per a les quals no estan dissenyats. Mossegar les ungles, subjectar objectes entre les dents o mossegar materials durs de manera repetida pot afavorir petites fractures i desgast localitzat.<\/p>\n<p>La prevenci\u00f3 ha de centrar-se, per tant, a detectar tots els factors que estiguin contribuint al problema i no \u00fanicament a reparar les seves conseq\u00fc\u00e8ncies visibles.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Com_saber_si_les_dents_estan_desgastades\"><\/span>Com saber si les dents estan desgastades?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>El desgast dental sol desenvolupar-se de manera progressiva. Aix\u00f2 fa que moltes persones no percebin els canvis immediatament.<\/p>\n<p>Comparar fotografies preses amb diversos anys de difer\u00e8ncia pot revelar modificacions que resulten dif\u00edcils d&#8217;apreciar en el dia a dia.<\/p>\n<p>Existeixen, no obstant aix\u00f2, diversos signes que poden indicar que s&#8217;est\u00e0 perdent estructura dental.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Sensibilitat_dental\"><\/span>Sensibilitat dental<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La sensibilitat al fred, a la calor o a determinats aliments pot apar\u00e8ixer quan la p\u00e8rdua d&#8217;esmalt deixa zones m\u00e9s vulnerables.<\/p>\n<p>L&#8217;esmalt actua com una capa protectora. Quan es redueix, la dentina pot quedar m\u00e9s exposada a est\u00edmuls externs.<\/p>\n<p>No tota sensibilitat significa que existeixi desgast dental, per\u00f2 quan apareix acompanyada de canvis en la forma de les dents conv\u00e9 realitzar una valoraci\u00f3.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Dents_mes_curtes_plans_o_irregulars\"><\/span>Dents m\u00e9s curtes, plans o irregulars<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Un dels signes m\u00e9s caracter\u00edstics \u00e9s la modificaci\u00f3 de l&#8217;anatomia dental.<\/p>\n<p>Les vores dels incisius poden semblar m\u00e9s curts o perdre les seves petites irregularitats naturals. Els canins poden tornar-se m\u00e9s plans i els molars poden presentar superf\u00edcies menys definides.<\/p>\n<p>Quan el desgast afecta a diverses dents simult\u00e0niament, pot produir-se una p\u00e8rdua progressiva d&#8217;altura dental.<\/p>\n<p>Aquests canvis no s\u00f3n \u00fanicament est\u00e8tics. L&#8217;anatomia de cada pe\u00e7a participa en la masticaci\u00f3 i en el funcionament conjunt de la mossegada.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Canvis_de_color_fissures_i_molesties_en_mastegar\"><\/span>Canvis de color, fissures i mol\u00e8sties en mastegar<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>En perdre esmalt pot fer-se m\u00e9s visible la dentina, que presenta una tonalitat diferent. Com a conseq\u00fc\u00e8ncia, les dents desgastades poden semblar m\u00e9s groguencs.<\/p>\n<p>Tamb\u00e9 poden observar-se petites fissures o fractures.<\/p>\n<p>En situacions m\u00e9s avan\u00e7ades, la modificaci\u00f3 de les superf\u00edcies dentals pot afectar la forma en la qual es distribueixen les forces durant la masticaci\u00f3.<\/p>\n<p>Per aquest motiu, conv\u00e9 valorar el desgast abans que la p\u00e8rdua de teixit sigui molt extensa. Com m\u00e9s gran sigui la quantitat d&#8217;estructura dental conservada, m\u00e9s possibilitats existeixen generalment de realitzar tractaments conservadors.<\/p>\n<p>[\/et_pb_text][et_pb_image src=&#8221;https:\/\/inidental.com\/wp-content\/uploads\/2026\/09\/diagnostico-dientes-desgastados.webp&#8221; alt=&#8221;Dientes desgastados&#8221; title_text=&#8221;diagnostico-dientes-desgastados&#8221; align=&#8221;center&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; custom_padding=&#8221;||58px|||&#8221; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<br \/>\n[\/et_pb_image][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; link_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; link_text_shadow_vertical_length_tablet=&#8221;0px&#8221; link_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ul_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ul_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ul_text_shadow_blur_strength_tablet=&#8221;1px&#8221; ol_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; ol_text_shadow_vertical_length_tablet=&#8221;0px&#8221; ol_text_shadow_blur_strength_tablet=&#8221;1px&#8221; quote_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; quote_text_shadow_vertical_length_tablet=&#8221;0px&#8221; quote_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_2_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_2_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_2_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Quina_es_la_millor_solucio_per_a_les_dents_desgastades\"><\/span>Quina \u00e9s la millor soluci\u00f3 per a les dents desgastades?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>No existeix un tractament universal. La millor soluci\u00f3 \u00e9s aquella que permet restaurar la dent utilitzant el procediment m\u00e9s conservador possible i, al mateix temps, controlar la causa responsable del desgast.<\/p>\n<p>Les principals alternatives inclouen reconstruccions amb comp\u00f2sit, carillas, corones, ortod\u00f2ncia i f\u00e8rules de desc\u00e0rrega.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Reconstruccio_de_dents_desgastades_amb_composit\"><\/span>Reconstrucci\u00f3 de dents desgastades amb comp\u00f2sit<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>El comp\u00f2sit \u00e9s una resina d&#8217;\u00fas odontol\u00f2gic que pot aplicar-se directament sobre la dent per a recuperar part del seu volum i anatomia.<\/p>\n<p>\u00c9s una de les alternatives m\u00e9s conservadores per a determinats desgastos lleus o moderats.<\/p>\n<p>El material es modela fins a reproduir la forma desitjada i posteriorment s&#8217;ajusta perqu\u00e8 s&#8217;integri amb la mossegada.<\/p>\n<p>Una dels seus avantatges \u00e9s que permet realitzar reconstruccions adhesives intentant preservar al m\u00e0xim el teixit dental que encara roman sa.<\/p>\n<p>Pot resultar especialment \u00fatil quan s&#8217;han perdut petits fragments, quan les vores incisales s&#8217;han escur\u00e7at o quan ha de recuperar-se part de l&#8217;anatomia original.<\/p>\n<p>No obstant aix\u00f2, la seva indicaci\u00f3 dep\u00e8n de les forces que suportar\u00e0 la restauraci\u00f3. En pacients amb bruxisme intens o problemes importants d&#8217;oclusi\u00f3, el professional haur\u00e0 d&#8217;estudiar acuradament la situaci\u00f3 abans de determinar el tractament.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Carillas_de_porcellana_o_composit\"><\/span>Carillas de porcellana o comp\u00f2sit<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Les carillas de porcellana o comp\u00f2sit poden utilitzar-se per a recuperar forma, longitud, proporcions i est\u00e8tica, especialment en les dents anteriors.<\/p>\n<p>Les carillas de comp\u00f2sit es realitzen utilitzant una resina que pot modelar-se directament sobre la dent o mitjan\u00e7ant diferents t\u00e8cniques restauradores.<\/p>\n<p>L&#8217;elecci\u00f3 entre totes dues opcions dep\u00e8n de l&#8217;estat de la dentici\u00f3, el nivell de desgast, la quantitat de teixit disponible, les necessitats est\u00e8tiques i les forces presents en la mossegada.<\/p>\n<p><span style=\"font-weight: 400;\">La elecci\u00f3n entre ambas opciones depende del estado de la dentici\u00f3n, el nivel de desgaste, la cantidad de tejido disponible, las necesidades est\u00e9ticas y las fuerzas presentes en la mordida.<\/span><\/p>\n<p>Les carillas no han d&#8217;entendre&#8217;s \u00fanicament com un tractament cosm\u00e8tic.<\/p>\n<p>Quan s&#8217;utilitzen en dents desgastades formen part d&#8217;una planificaci\u00f3 restauradora l&#8217;objectiu de la qual pot ser recuperar dimensions que s&#8217;havien perdut.<\/p>\n<p>Abans de col\u00b7locar-les \u00e9s necessari comprovar que la causa del desgast es troba identificada i controlada.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Corones_dentals_en_desgastos_severs\"><\/span>Corones dentals en desgastos severs<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Una corona recobreix una part molt major de la dent que uneixi carilla.<\/p>\n<p>Pot ser necess\u00e0ria quan l&#8217;estructura dental es troba molt compromesa i una restauraci\u00f3 m\u00e9s limitada no ofereix suficient protecci\u00f3 o resist\u00e8ncia.<\/p>\n<p>No obstant aix\u00f2, les corones no representen autom\u00e0ticament la primera opci\u00f3 per a qualsevol dent desgastada.<\/p>\n<p>L&#8217;odontologia actual cerca conservar sempre que sigui possible la major quantitat de teixit sa. Per aix\u00f2, la indicaci\u00f3 ha d&#8217;establir-se individualment.<\/p>\n<p>En desgastos severs pot ser necessari combinar corones amb altres restauracions depenent de l&#8217;estat de cada pe\u00e7a.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Ortodoncia_per_a_corregir_problemes_de_mossegada\"><\/span>Ortod\u00f2ncia per a corregir problemes de mossegada<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>Quan el desgast est\u00e0 relacionat amb una posici\u00f3 dental inadequada, pot ser necessari modificar primer la ubicaci\u00f3 de determinades peces.<\/p>\n<p>L&#8217;ortod\u00f2ncia permet corregir alineacions i relacions de mossegada per a crear unes condicions m\u00e9s favorables abans de realitzar la restauraci\u00f3 definitiva.<\/p>\n<p>Aquest enfocament resulta especialment important quan determinades dents reben c\u00e0rregues molt concentrades.<\/p>\n<p>Una vegada millorada la posici\u00f3 dental, les reconstruccions poden dissenyar-se per a treballar dins d&#8217;una distribuci\u00f3 de forces m\u00e9s equilibrada.<\/p>\n<h3><span class=\"ez-toc-section\" id=\"Ferula_de_descarrega_quan_existeix_bruxisme\"><\/span>F\u00e8rula de desc\u00e0rrega quan existeix bruxisme<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<p>La f\u00e8rula de desc\u00e0rrega s&#8217;utilitza principalment com a element protector quan existeix apretamiento o rechinamiento dental.<\/p>\n<p>Normalment es fabrica de manera individualitzada per a adaptar-se a la dentici\u00f3.<\/p>\n<p>La seva funci\u00f3 principal no \u00e9s reconstruir la part de la dent que ja s&#8217;ha perdut, sin\u00f3 contribuir a protegir les superf\u00edcies dentals i les restauracions enfront de les forces generades pel bruxisme.<\/p>\n<p>Per aquest motiu, pot complementar tractaments realitzats amb comp\u00f2sit, porcellana o altres materials restauradors.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Solucions_segons_el_grau_i_la_causa_del_desgast_dental\"><\/span>Solucions segons el grau i la causa del desgast dental<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La relaci\u00f3 entre causa, gravetat i tractament \u00e9s fonamental per a comprendre com se solucionen les dents desgastades.<\/p>\n<p>La seg\u00fcent taula resumeix de manera orientativa algunes situacions freq\u00fcents:<\/p>\n<table style=\"height: 184px;\">\n<tbody>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\"><b>Situaci\u00f3<\/b><\/td>\n<td style=\"height: 23px; width: 313.609px;\"><b>Possible enfocament<\/b><\/td>\n<td style=\"height: 23px; width: 407.812px;\"><b>Objectiu<\/b><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">Desgast lleu localitzat<\/td>\n<td style=\"height: 23px; width: 313.609px;\"><span style=\"font-weight: 400;\">Composite i control de la causa<\/span><\/td>\n<td style=\"height: 23px; width: 407.812px;\"><span style=\"font-weight: 400;\">Recuperar petites perdues d&#8217;anatomia<\/span><\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">Bordes de dents anteriors escur\u00e7ades<\/td>\n<td style=\"height: 23px; width: 313.609px;\">Comp\u00f2sit o carillas segons el cas<\/td>\n<td style=\"height: 23px; width: 407.812px;\">Recuperar longitud i est\u00e8tica<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">Bruxisme<\/td>\n<td style=\"height: 23px; width: 313.609px;\">F\u00e8rula de desc\u00e0rrega + restauraci\u00f3 si \u00e9s necess\u00e0ria<\/td>\n<td style=\"height: 23px; width: 407.812px;\">Protegir les dents i reconstruir el mal existent<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">Problemes de mossegada<\/td>\n<td style=\"height: 23px; width: 313.609px;\">Ortod\u00f2ncia o correcci\u00f3 oclusal abans de restaurar<\/td>\n<td style=\"height: 23px; width: 407.812px;\">Distribuir millor les forces<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">Desgast est\u00e8tic moderat<\/td>\n<td style=\"height: 23px; width: 313.609px;\">Carillas de comp\u00f2sit o porcellana\u00a0<\/td>\n<td style=\"height: 23px; width: 407.812px;\">Recuperar forma, volum i proporcions<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">P\u00e8rdua important d&#8217;estructura<\/td>\n<td style=\"height: 23px; width: 313.609px;\">Restauracions de major cobertura\u00a0<\/td>\n<td style=\"height: 23px; width: 407.812px;\">Protegir el teixit dental restant<\/td>\n<\/tr>\n<tr style=\"height: 23px;\">\n<td style=\"height: 23px; width: 244.375px;\">Desgast generalitzat<\/td>\n<td style=\"height: 23px; width: 313.609px;\">Rehabilitaci\u00f3 oral completa<\/td>\n<td style=\"height: 23px; width: 407.812px;\">Recuperar funci\u00f3, dimensions i estabilitat de tota la dentici\u00f3<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>Aquesta classificaci\u00f3 \u00e9s \u00fanicament orientativa. Dues persones amb un desgast aparentment semblant poden necessitar tractaments distints.<\/p>\n<p>Per exemple, una petita p\u00e8rdua de longitud produ\u00efda per un h\u00e0bit que ja ha desaparegut pot abordar-se de forma diferent d&#8217;un desgast similar en un pacient que continua estrenyent les dents cada nit.<\/p>\n<p>Per aix\u00f2, el diagn\u00f2stic ha de precedir sempre a l&#8217;elecci\u00f3 del material.<\/p>\n<p>Tamb\u00e9 \u00e9s important diferenciar les solucions protectores de les restauradores.<\/p>\n<p>Una f\u00e8rula pot protegir. L&#8217;ortod\u00f2ncia pot modificar una causa relacionada amb la mossegada. Un canvi d&#8217;h\u00e0bits pot reduir l&#8217;exposici\u00f3 a un factor nociu.<\/p>\n<p>En canvi, el comp\u00f2sit, les carillas i les corones permeten recuperar estructura que ja s&#8217;ha perdut.<\/p>\n<p>En nombrosos casos \u00e9s necessari combinar tots dos enfocaments.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Rehabilitacio_oral_completa_en_dents_molt_desgastades\"><\/span>Rehabilitaci\u00f3 oral completa en dents molt desgastades<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Quan el desgast afecta a nombroses peces i ha alterat significativament la forma en qu\u00e8 les dents contacten entre si, pot plantejar-se una rehabilitaci\u00f3 oral completa.<\/p>\n<p>Aquest enfocament no es limita a reparar una dent a\u00efllada.<\/p>\n<p>El professional estudia la dentici\u00f3 en conjunt, tenint en compte l&#8217;anatomia de les peces, la mossegada, la quantitat d&#8217;estructura conservada i la relaci\u00f3 entre els diferents grups dentals.<\/p>\n<p>L&#8217;objectiu consisteix a recuperar una situaci\u00f3 funcional estable i, al mateix temps, millorar l&#8217;est\u00e8tica.<\/p>\n<p>Abans d&#8217;iniciar el tractament poden analitzar-se registres de la mossegada, fotografies i altres proves diagn\u00f2stiques que permetin planificar la nova anatomia dental.<\/p>\n<p>Posteriorment es decideix quin tipus de restauraci\u00f3 resulta m\u00e9s convenient per a cada pe\u00e7a.<\/p>\n<p>No totes les dents tenen per qu\u00e8 rebre el mateix tractament.<\/p>\n<p>Alguns poden reconstruir-se mitjan\u00e7ant t\u00e8cniques adhesives conservadores, mentre que uns altres podrien necessitar restauracions diferents pel nivell de deterioraci\u00f3 que presenten.<\/p>\n<p>Aquest concepte \u00e9s especialment important perqu\u00e8 la rehabilitaci\u00f3 d&#8217;una dentici\u00f3 molt desgastada no ha de reduir-se a l&#8217;elecci\u00f3 entre comp\u00f2sit, carillas o corones.<\/p>\n<p>Primer ha d&#8217;establir-se una planificaci\u00f3 global.<\/p>\n<p>L&#8217;est\u00e8tica constitueix una part del resultat, per\u00f2 no pot separar-se de la funci\u00f3.<\/p>\n<p>Les dents han de presentar proporcions naturals i, a m\u00e9s, treballar correctament durant la masticaci\u00f3.<\/p>\n<p>Per aix\u00f2 la rehabilitaci\u00f3 oral completa pot integrar diferents \u00e0rees de tractament, incloent-hi odontologia conservadora, pr\u00f2tesis dentals, est\u00e8tica dental i, quan sigui necessari, ortod\u00f2ncia.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Es_pot_recuperar_lesmalt_dunes_dents_desgastades\"><\/span>Es pot recuperar l&#8217;esmalt d&#8217;unes dents desgastades?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>L&#8217;esmalt dental perdut no torna a cr\u00e9ixer de manera natural fins a recuperar l&#8217;anatomia original de la dent.<\/p>\n<p>Aquest punt \u00e9s important perqu\u00e8 existeix una difer\u00e8ncia entre enfortir o afavorir la remineralitzaci\u00f3 d&#8217;una superf\u00edcie que encara conserva la seva estructura i reconstruir f\u00edsicament una part de la dent que ja ha desaparegut.<\/p>\n<p>Quan existeix una p\u00e8rdua real de volum, la recuperaci\u00f3 de la forma sol requerir un material restaurador.<\/p>\n<p>Depenent de la situaci\u00f3, pot emprar-se comp\u00f2sit, cer\u00e0mica o un altre tipus de restauraci\u00f3 indicada pel professional.<\/p>\n<p>Aix\u00f2 no significa que tots els petits signes de desgast hagin de reconstruir-se immediatament.<\/p>\n<p>En determinades situacions pot ser m\u00e9s adequat controlar l&#8217;evoluci\u00f3 i actuar sobre la causa.<\/p>\n<p>La decisi\u00f3 dep\u00e8n de factors com la profunditat del desgast, la sensibilitat, l&#8217;est\u00e8tica, la velocitat amb la qual progressa i la seva influ\u00e8ncia sobre la mossegada.<\/p>\n<p>Com m\u00e9s aviat millor es detecti el problema, major capacitat existeix per a aplicar mesures preventives i reduir la p\u00e8rdua addicional de teixit.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Com_evitar_que_les_dents_continuin_desgastant-se\"><\/span>Com evitar que les dents continu\u00efn desgastant-se<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>La prevenci\u00f3 dep\u00e8n directament de la causa.<\/p>\n<p>No existeix una \u00fanica mesura capa\u00e7 d&#8217;evitar tots els tipus de desgast dental.<\/p>\n<p>Quan existeix bruxisme, pot valorar-se una f\u00e8rula de desc\u00e0rrega i han de revisar-se peri\u00f2dicament tant les dents com les restauracions.<\/p>\n<p>Si el problema est\u00e0 relacionat amb la mossegada, el professional pot estudiar si existeix una distribuci\u00f3 inadequada de les forces.<\/p>\n<p>Quan intervenen aliments o begudes \u00e0cides, \u00e9s recomanable disminuir la seva freq\u00fc\u00e8ncia i evitar mantenir les dents sotmeses constantment a un ambient \u00e0cid.<\/p>\n<p>Tamb\u00e9 ha de parar-se esment a la t\u00e8cnica de raspallat.<\/p>\n<p>Raspallar amb massa for\u00e7a no neta necess\u00e0riament millor. Una t\u00e8cnica adequada i unes truges apropiades permeten mantenir la higiene sense exercir una pressi\u00f3 excessiva sobre els teixits dentals.<\/p>\n<p>Aix\u00ed mateix, conv\u00e9 evitar h\u00e0bits com:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Mossegar bol\u00edgrafs o altres objectes.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Mossegar-se les ungles.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Utilitzar les dents per a obrir envasos.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Mastegar repetidament objectes durs.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Ignorar un possible bruxisme durant anys.<\/li>\n<\/ul>\n<p>La prevenci\u00f3 \u00e9s especialment important despr\u00e9s de restaurar unes dents desgastades.<\/p>\n<p>Una reconstrucci\u00f3 pot recuperar l&#8217;anatomia perduda, per\u00f2 la seva estabilitat a llarg termini dependr\u00e0 tamb\u00e9 que es controlin els factors que van provocar el problema inicialment.<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Quan_es_recomanable_acudir_al_dentista\"><\/span>Quan \u00e9s recomanable acudir al dentista?<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Conv\u00e9 realitzar una valoraci\u00f3 quan s&#8217;observa que les dents s&#8217;estan escur\u00e7ant, presenten vores cada vegada m\u00e9s plans, apareixen fissures o existeix sensibilitat freq\u00fcent.<\/p>\n<p>Tamb\u00e9 \u00e9s recomanable consultar si una altra persona detecta soroll nocturn o si existeix la sensaci\u00f3 d&#8217;estr\u00e8nyer les dents de manera habitual.<\/p>\n<p>Els canvis progressius poden ser dif\u00edcils de recon\u00e8ixer sense una refer\u00e8ncia.<\/p>\n<p>Per aix\u00f2 les revisions permeten comparar l&#8217;evoluci\u00f3 i detectar signes de desgast abans que siguin molt evidents.<\/p>\n<p>Ha de prestar-se especial atenci\u00f3 quan el problema afecta a diverses peces simult\u00e0niament.<\/p>\n<p>Un desgast generalitzat pot indicar que existeix una causa que actua sobretot el sistema masticatori i no \u00fanicament sobre una dent a\u00efllada.<\/p>\n<p>Tamb\u00e9 conv\u00e9 valorar el problema abans d&#8217;iniciar un tractament exclusivament est\u00e8tic.<\/p>\n<p>Si una dent ha perdut longitud per una mala distribuci\u00f3 de forces, recuperar la seva forma sense corregir la causa pot no ser suficient.<\/p>\n<p>Una valoraci\u00f3 est\u00e8tica i funcional permet determinar qu\u00e8 s&#8217;ha desgastat, per qu\u00e8 ha ocorregut i quin tractament podria oferir un resultat m\u00e9s estable.<\/p>\n<p>Demana una valoraci\u00f3 est\u00e8tica i funcional si existeixen signes de desgast dental o si es desitja con\u00e8ixer quines opcions permeten recuperar la forma, la funci\u00f3 i l&#8217;aparen\u00e7a de les dents.<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row _builder_version=&#8221;4.17.6&#8243; 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header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Preguntes_frequents_sobre_les_dents_desgastades\"><\/span>Preguntes freq\u00fcents sobre les dents desgastades<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>[\/et_pb_text][et_pb_accordion _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;][et_pb_accordion_item title=&#8221;Com es poden arreglar unes dents molt desgastades?&#8221; open=&#8221;on&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Quan el desgast \u00e9s important, el tractament es decideix despr\u00e9s d&#8217;estudiar el conjunt de la dentici\u00f3 i la mossegada.<\/p>\n<p>Pot ser necess\u00e0ria una combinaci\u00f3 de reconstruccions amb comp\u00f2sit, restauracions cer\u00e0miques, corones o altres procediments.<\/p>\n<p>Si el problema afecta a nombroses dents, pot plantejar-se una rehabilitaci\u00f3 oral completa per a recuperar de forma coordinada l&#8217;anatomia i la funci\u00f3.<\/p>\n<p>Abans de realitzar les restauracions tamb\u00e9 ha de controlar-se la causa que va provocar el desgast.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Qu\u00e8 \u00e9s millor per a dents desgastades: comp\u00f2sit, carillas o corones?&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>Cap d&#8217;aquestes opcions \u00e9s superior en tots els casos.<\/p>\n<p>El comp\u00f2sit pot resultar adequat en desgastos lleus o moderats i permet tractaments molt conservadors.<\/p>\n<p>Les carillas poden utilitzar-se quan \u00e9s necessari recuperar forma, longitud i est\u00e8tica en determinades dents anteriors.<\/p>\n<p>Les corones ofereixen una cobertura major i poden estar indicades quan existeix una p\u00e8rdua considerable d&#8217;estructura.<\/p>\n<p>La decisi\u00f3 dep\u00e8n de l&#8217;estat concret de cada pe\u00e7a i de les forces presents en la mossegada.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Quina soluci\u00f3 existeix per a les dents desgastades per bruxisme?&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>El tractament ha de contemplar dos aspectes: controlar les conseq\u00fc\u00e8ncies del bruxisme i restaurar, quan sigui necessari, el teixit dental perdut.<\/p>\n<p>Una f\u00e8rula de desc\u00e0rrega pot ajudar a protegir la dentici\u00f3.<\/p>\n<p>Si les dents ja han perdut forma o longitud, poden requerir-se reconstruccions amb comp\u00f2sit, carillas o altres restauracions segons el grau d&#8217;afectaci\u00f3.<\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Una f\u00e8rula de desc\u00e0rrega repara les dents desgastades?&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>No. Una f\u00e8rula de desc\u00e0rrega no fa que l&#8217;esmalt perdut torni a cr\u00e9ixer ni reconstrueix l&#8217;anatomia de la dent.<\/p>\n<p>La seva funci\u00f3 principal \u00e9s protegir la dentici\u00f3 i les restauracions enfront de determinades forces relacionades amb el bruxisme.<\/p>\n<p>Quan existeix p\u00e8rdua d&#8217;estructura, pot combinar-se amb un tractament restaurador.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Quant pot costar reparar unes dents desgastades?&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>El cost dep\u00e8n del nombre de dents afectades, del nivell de desgast i del tractament necessari.<\/p>\n<p>No t\u00e9 el mateix abast una petita reconstrucci\u00f3 amb comp\u00f2sit que una rehabilitaci\u00f3 que impliqui nombroses dents i diferents tipus de restauracions.<\/p>\n<p>Per aquest motiu, el pressupost nom\u00e9s pot definir-se correctament despr\u00e9s de realitzar un diagn\u00f2stic i establir un pla de tractament.<\/p>\n<p>[\/et_pb_accordion_item][et_pb_accordion_item title=&#8221;Les dents desgastades poden provocar sensibilitat?&#8221; _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; hover_enabled=&#8221;0&#8243; global_colors_info=&#8221;{}&#8221; open=&#8221;off&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<p>S\u00ed, especialment quan la p\u00e8rdua d&#8217;esmalt fa que la dentina quedi m\u00e9s exposada.<\/p>\n<p>La sensibilitat pot apar\u00e8ixer enfront del fred, a la calor o determinats aliments.<\/p>\n<p>No obstant aix\u00f2, la sensibilitat dental tamb\u00e9 pot tenir altres causes, per la qual cosa ha de valorar-se conjuntament amb la resta de signes.<\/p>\n<p>[\/et_pb_accordion_item][\/et_pb_accordion][et_pb_text _builder_version=&#8221;4.27.6&#8243; _module_preset=&#8221;default&#8221; vertical_offset_tablet=&#8221;0&#8243; horizontal_offset_tablet=&#8221;0&#8243; hover_enabled=&#8221;0&#8243; z_index_tablet=&#8221;0&#8243; text_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; text_text_shadow_vertical_length_tablet=&#8221;0px&#8221; text_text_shadow_blur_strength_tablet=&#8221;1px&#8221; 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header_3_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_3_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_3_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_4_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_4_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_4_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_5_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_5_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_5_text_shadow_blur_strength_tablet=&#8221;1px&#8221; header_6_text_shadow_horizontal_length_tablet=&#8221;0px&#8221; header_6_text_shadow_vertical_length_tablet=&#8221;0px&#8221; header_6_text_shadow_blur_strength_tablet=&#8221;1px&#8221; box_shadow_horizontal_tablet=&#8221;0px&#8221; box_shadow_vertical_tablet=&#8221;0px&#8221; box_shadow_blur_tablet=&#8221;40px&#8221; box_shadow_spread_tablet=&#8221;0px&#8221; global_colors_info=&#8221;{}&#8221; sticky_enabled=&#8221;0&#8243;]<\/p>\n<h2><span class=\"ez-toc-section\" id=\"Conclusio_recuperar_les_dents_desgastades_comenca_per_coneixer_la_causa\"><\/span>Conclusi\u00f3: recuperar les dents desgastades comen\u00e7a per con\u00e8ixer la causa<span class=\"ez-toc-section-end\"><\/span><\/h2>\n<p>Les dents desgastades poden recuperar en molts casos gran part de la seva forma, est\u00e8tica i funci\u00f3. La soluci\u00f3 pot anar des d&#8217;una reconstrucci\u00f3 conservadora amb comp\u00f2sit fins a carillas de porcellana o comp\u00f2sit, corones, ortod\u00f2ncia, f\u00e8rules de desc\u00e0rrega o una rehabilitaci\u00f3 oral completa quan el desgast afecta a m\u00faltiples peces.<\/p>\n<p>La clau no consisteix \u00fanicament a reconstruir el que es veu.<\/p>\n<p>Abans ha d&#8217;identificar-se qu\u00e8 est\u00e0 provocant la p\u00e8rdua de teixit i comprovar com es distribueixen les forces de la mossegada.<\/p>\n<p>Nom\u00e9s despr\u00e9s pot determinar-se quin tractament permetr\u00e0 conservar al m\u00e0xim l&#8217;estructura dental existent i oferir un resultat funcional i estable.<\/p>\n<p>Per aix\u00f2, davant dents visiblement m\u00e9s curts, superf\u00edcies planes, sensibilitat, fissures o signes de bruxisme, una valoraci\u00f3 primerenca permet determinar la gravetat del desgast i estudiar l&#8217;alternativa m\u00e9s adequada.<\/p>\n<p><a href=\"https:\/\/inidental.com\/estetica-dental\/\"><b>Demana una valoraci\u00f3 est\u00e8tica i funcional<\/b><\/a><span style=\"font-weight: 400;\">\u00a0per a con\u00e8ixer l&#8217;origen del desgast i valorar les opcions disponibles per a recuperar l&#8217;est\u00e8tica i la funci\u00f3 de la dentici\u00f3.<\/span><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Les dents desgastades tenen soluci\u00f3 i, depenent de la quantitat de teixit dental perdut i de la causa que hagi provocat el desgast, poden tractar-se mitjan\u00e7ant reconstruccions amb comp\u00f2sit, carillas de porcellana o comp\u00f2sit, corones, ortod\u00f2ncia, f\u00e8rules de desc\u00e0rrega o una rehabilitaci\u00f3 oral m\u00e9s \u00e0mplia. L&#8217;objectiu del tractament no consisteix \u00fanicament a millorar l&#8217;aparen\u00e7a de [&hellip;]<\/p>\n","protected":false},"author":5,"featured_media":11071,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[36],"tags":[],"class_list":["post-11082","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-estetica-ca"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dents desgastades: causes, solucions i tractaments<\/title>\n<meta name=\"description\" content=\"Descobreix quines solucions hi ha per a les dents desgastades, des de composite i carilles fins a corones, f\u00e8rules i rehabilitaci\u00f3 oral.\" \/>\n<meta name=\"robots\" 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